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Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status.
Murnane, Pamela M; Miller, Joshua D; Tuthill, Emily L; Collins, Shalean M; Neilands, Torsten B; Onono, Maricianah; Cohen, Craig R; Weiser, Sheri D; Laudenslager, Mark L; Young, Sera L.
Afiliação
  • Murnane PM; Department of Medicine, Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA.
  • Miller JD; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
  • Tuthill EL; Department of Anthropology, Northwestern University, Evanston, IL, USA.
  • Collins SM; Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA, USA.
  • Neilands TB; Department of Anthropology, Northwestern University, Evanston, IL, USA.
  • Onono M; Department of Medicine, Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA.
  • Cohen CR; Kenya Medical Research Institute, Nairobi, Kenya.
  • Weiser SD; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA.
  • Laudenslager ML; Division of HIV, Infectious Disease, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
  • Young SL; Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
AIDS Behav ; 24(6): 1632-1642, 2020 Jun.
Article em En | MEDLINE | ID: mdl-31538283
Stress and food insecurity (FI) are associated with poor perinatal and HIV outcomes. We hypothesized that FI would increase postpartum stress among women in Kenya, and that the impact would be greater in women with HIV. Among 371 pregnant women, we identified latent FI trajectories across the perinatal period, and estimated their association with postpartum stress. Stress metrics included the Perceived Stress Scale (PSS) and hair cortisol concentrations (HCC). We identified two FI trajectories: persistent moderate FI and persistent mild FI. Moderate FI (vs. mild) was associated with higher PSS; this association was stronger among HIV-negative women. We observed a trend towards higher HCC associated with moderate FI, which did not differ by HIV status. HCC and PSS were not correlated. In summary, moderate FI (vs. mild) was associated with increased stress. The lack of PSS-HCC correlation could reflect different physiological pathways. Interventions to mitigate FI could alleviate postpartum stress.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estresse Psicológico / Assistência Perinatal / Gestantes / Abastecimento de Alimentos / Mães Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estresse Psicológico / Assistência Perinatal / Gestantes / Abastecimento de Alimentos / Mães Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos